Organization Active NPI

Mother Bloom Womens Wellness

  • Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1962310458
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOTHER BLOOM WOMENS WELLNESS
Practice address
2800 S State St Ste 215
Ann Arbor, MI 48104-7103
Phone
(734) 395-5868
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna R Fernandez, CNM
Title
Certified Nurse Midwife
Phone
(734) 395-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2800 S State St Ste 215
Ann Arbor, MI 48104-7103

Mailing address

11150 Boyce Rd
Chelsea, MI 48118-9411
Phone (734) 395-5868

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1962310458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 BOYCE RD",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189411",
            "telephone_number": "734-395-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S STATE ST STE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047103",
            "telephone_number": "734-395-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER BLOOM WOMENS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "734-395-5868",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.